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Online Reservation Request

To make a reservation request, fill out the electronic form below. Or if you prefer you may go to the print version page. Simply print it, fill it out and fax or mail it.

Completing and sending this form DOES NOT automatically guarantee or presume a reservation is made. Confirmation must be returned in writing (e-mail) or by telephone by reservation personnel. Confirmation is made on availability of dates and facilities requested, and is on a first-come basis.

Eastover Retreat Center
601 Eastover Drive
Spring Grove, VA 23881
Tel (757) 294-3636
Fax (757) 294-0073
E-mail - Eastover1@mindspring.com
Web - www.eastover.org

Estimated Arrival Time

Estimated Departure Time

Today's Date : (mm/dd/yyyy)
/ /

Dates Requested : (mm/dd/yyyy)
/ /
thru
/ /

Church/Group Name

Church Phone Number:
( ) -

Address (Street, City, State, Zip)

Contact Person:

Home Phone Number:
( ) -

Work Phone Number:
( ) -

Cell Phone Number:
( ) -

Fax Phone Number:
( ) -

E-mail address:

Total Number of People (estimated):

Male

Female

Age:
Children

Youth

Adult

Type of Retreat: (marriage, teen discipleship, deacons, choir, kids camp, etc.):

Housing Desired:
Cabins (number)

Motel (number of rooms)

Dorm (number of wings)

Tents (number of sites)

Meeting room preference:
Chapel
Craft
Motel
Dining Hall
Dorm

Meals (check):
Breakfast
Lunch
Dinner
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Other requests: (TV/VCR, hayride, etc.)